Orthofix外固定器治疗儿童骨干续连症四肢畸形的疗效分析  

Efficacy Analysis of Orthofix External Fixator in the Treatment of Diaphyseal Aclasis Limb Deformities in Children

作　　者：沈阳[1,2] 颜景斌[3] 黄英[3] 陈柏松[1,2] 蔡勤[3] 吕志宝[1,4] 

机构地区：[1]上海市儿童医院 [2]上海交通大学附属儿童医院骨科,上海200040 [3]上海交通大学医学遗传研究所,上海200040 [4]上海交通大学附属儿童医院外科,上海200040

出　　处：《中国医药导刊》2014年第1期1-2,4,共3页Chinese Journal of Medicinal Guide

基　　金：十二五国家科技支撑计划项目(2012BAI09B04)

摘　　要：目的：探讨儿童骨干续连症所致四肢畸形的手术方法和疗效,总结手术治疗的安全性、疗效及注意事项。方法：2005年6月至2010年6月本院收治的12例因多发性骨软骨瘤导致前臂畸形及股骨短缩畸形患儿,采用尺骨截骨Orthofix技术逐渐延长尺骨,矫正弯曲,同时牵引桡骨小头复位。股骨短缩患者采用股骨截骨延长,术后均通过随访,评价患肢功能和外观改善情况。结果：10例前臂短缩、弯曲得到矫正,腕关节尺偏纠正,2例股骨软骨瘤短缩患肢不等长外观纠正外观满意。前臂旋转功能较术前改善,旋前平均增加10°-16°,旋后活动度平均增加11°-14°。8例桡骨头脱位复位满意,1例桡骨头脱位未复位。结论：采用单臂外固定架骨延长术治疗多发性骨软骨瘤所致的四肢畸形的技术简便可靠,并发症少,在治疗上还要注意选择恰当的手术时机。Objective：To explore the surgery method and effect of treating diaphyseal aclasis limb deformities in children, and to summarize the safety, efficacy, and precautions of surgical treatment.Methods：12 cases caused due to multiple osteochondroma forearm deformity and shortening of the femoral deformity in children was admitted to our hospital from June 2005 to June 2010, using the ulnar osteotomy Orthofix technology and gradually extended the ulna, correcting of the bending, traction radial head reset. The shortening of the femur patients using femoral osteotomy extend method.To evaluate the improvement of limb function and appearance through postoperative follow-up.Results：In 10 cases of forearm shortening,the bending have been corrected, wrist ulnar deviation was corrected, in 2 cases femoral shortening, the appearance and length of the femoral was corrected satisfactorily. Compared with preoperative, the forearm rotation was improved. Increased by an average of 10 ° to 16 ° pronation, and 11 ° to 14 °supination. 8 cases of radial head dislocation was reset satisfied and one case was not reset.Conclusion：Unilateral external fixator lengthening surgery method in the treatment of multiple osteochondroma caused limb deformities technology is simple, reliable, and withfewer complications, and the proper timing of surgery in the treatment must be selected.

关 键 词：ORTHOFIX 儿童 骨干续连症 畸形 

分 类 号：R726.8[医药卫生—儿科]